Active NPI
Danielle Marie Ryan, RBT
- Technician
- North Charleston, SC
National Provider Identifier
1114406501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician
- License
- RBT-18-55538
- Practice address
- 2070 Northbrook Blvd Ste B4
North Charleston, SC 29406-9254 - Phone
- (843) 569-3033
- NPI assigned
- Aug 7, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician | 374700000X | RBT-18-55538 | SC | Primary |
Addresses
Primary practice location
2070 Northbrook Blvd Ste B4
North Charleston, SC 29406-9254
Mailing address
2070 Northbrook Blvd Ste B4
North Charleston, SC 29406-9254
Phone (843) 569-3033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-55538 | SC | MD | Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Pediatric Rehabilitation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- North Charleston, SC
- NPI 1649634593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533600000000",
"number": "1114406501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2070 NORTHBROOK BLVD STE B4",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069254",
"telephone_number": "843-569-3033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2070 NORTHBROOK BLVD STE B4",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069254",
"telephone_number": "843-569-3033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "DANIELLE",
"middle_name": "MARIE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-07",
"last_updated": "2018-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "374700000X",
"taxonomy_group": "",
"desc": "Technician",
"state": "SC",
"license": "RBT-18-55538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.